6515-- Equipment Request - Audiology - Audiometer CBOC Activation

36C25920Q0772

Page 1 of

Page 1 of

Page 13 of 13

Page 1 of

Page 1 of

Request for Quote - 36C25920Q0772

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. The Government reserves the right to make no award from this solicitation.

** Quotes are to be provided to Lisa.thompson10@va.gov no later than 4:00pm MST, September 21st, 2020.

Quotes shall not be hand carried. Faxed quotes shall not be accepted. Emailed quotes are the only method of submitted quotes (4MB size limitation per email). The Government reserves the right to make award solely on initial Quotes received. Offerors bear the burden of ensuring that all portions of the offer (and any authorized amendments) reach the designated office before the deadline specified in the solicitation. This RFQ shall be completed in its entirety, and signed and dated, failure shall not be considered for award.

The Department of Veterans Affairs, Veterans Health Administration (VHA), Network Contracting Office 19 (NCO 19), Salt Lake City Veterans Health Care System needs to purchase the Madsen Astera System and the ICS Impulse USB Goggles brand name or equal.

This is a Request for Quote (RFQ) and the solicitation number is 36C25920Q0384. The government anticipates awarding a firm-fixed price contract resulting from this solicitation.

This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2020-04 effective date January 15, 2020.

The North American Industrial Classification System (NAICS) code for this procurement is 339112 with a small business size standard of (750 Employees). This solicitation is a 100% set-aside for small business.

List of Line Items;

ITEM INFORMATION

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

0001

5.00

EA

__________________

__________________

1066 MADSEN Astera 2 8-04-13102

LOCAL STOCK NUMBER: 8-04-13102

0002

5.00

EA

__________________

__________________

1066, ACP ASTERA 2 8-69-40800

LOCAL STOCK NUMBER: 8-69-40800

0003

5.00

EA

__________________

__________________

Speaker System, 100 dB misco 8-75-81550

LOCAL STOCK NUMBER: 8-75-81550

0004

5.00

EA

__________________

__________________

KIT, TOUCHSCREEN, WIN 7 HDMI 8-62-46700

LOCAL STOCK NUMBER: 8-62-46700

0005

5.00

EA

__________________

__________________

Kit, Vesa Wall mount, Aurical 8-62-46400

LOCAL STOCK NUMBER: 8-62-46400

0006

1.00

EA

__________________

__________________

Otometrics Advantage GO Install

LOCAL STOCK NUMBER: 8-69-42631-1085

0007

1.00

EA

__________________

__________________

Otometrics Advantage GO Training

LOCAL STOCK NUMBER: 8-04-16210-1085

GRAND TOTAL

__________________

DELIVERY SCHEDULE

ITEM NUMBER

QUANTITY

DELIVERY DATE

0001

0002

0003

0004

0005

SHIP TO:

Salt Lake City Veterans Affairs Medical Center

500 Foothill Dr.

Salt Lake City, UT 84148

USA

5.00

NLT 30 ARO

MARK FOR:

Joseph Arnold

801-582-1565 ext 5191

joseph.arnold@va.gov

0006

0007

SHIP TO:

Salt Lake City Veterans Affairs Medical Center

500 Foothill Dr.

Salt Lake City, UT 84148

USA

1.00

MARK FOR:

Joseph Arnold

801-582-1565 ext 5191

joseph.arnold@va.gov

Description of Requirements for the items to be acquired (salient characteristics);

Compatible with Otosuite software

Integrates with Otosuite products and NOAH

Ability to import data to CPRS

FRESH noise stimulus: Available in entire frequency range within the transducer specified range. (for SF 125-12500 Hz, Accuracy 0.3%)

Fully integrated tinnitus questionnaires (THI, THS, TFI,) with ability to store, review and share data during assessment

Integrated pediatric module with Visual Reinforcement Audiometry (VRA)

PC based two channel audiometer-Two separate and identical channels

Air, bone and speech audiometer

Fully integrated quicks in test

Integrated Psychoacoustical tests for pitch and loudness matching, Minimum Masking Level (MML), and Residual Inhibition (RI)

Special tests such as TEN test and SAL test

Control panel for touchscreen use

Type identification

Audiometer type1066 from GN Otometrics A/S.

Channels

Two separate and identical channels

Frequency range

TDH39 earphones: Standard frequencies: 125 - 12500 Hz

HDA 300 earphones: Standard frequencies: 125 - 20000 Hz

Insert earphones: Standard frequencies: 125 - 8000 Hz

BC: Standard frequencies: 250 - 8000 Hz

SF: Standard frequencies: 125 - 20000 Hz

FRESH noise stimulus: Available in entire frequency range within the transducer specified range.(for SF 125 - 12500 Hz). Accuracy 0.3%

Narrow Band Noise masking: Available in entire frequency range

Frequency resolution: 1/48, 1/24, 1/12, and 1/6 oct, 1 Hz step

Stimulus types

Tone

Warble

Pulsed tone

Pulsed warble

FRESH noise Frequency-specific hearing assessment noise.

Consists of noise bands, with frequency-specific filter width.

The FRESH noise is filtered to obtain very steep slopes outside the passband.

Pulsed FRESH noise

Masking types

AC and BC: Narrow Band Noise (Correlated)

Speech Weighted Noise (Correlated)

White Noise (Wide band noise) (Correlated)

SF: Narrow Band Noise (Non-correlated)

Speech Weighted Noise (Non-correlated)

White Noise (Wide band noise) (Non-correlated)

Stimulus modulation

FM (Warble): Adjustable modulation rate and depth

Modulation rate: 1-20 Hz (default: 5 Hz).

Modulation depth: 1-25% of center frequency (default: 5%).

SISI: 5, 2, 1 dB increments

Accuracy of sound level

Entire level range (AC): 125 to 5000 Hz: ±3 dB

5000 to 20000 Hz: ±5 dB

Entire level range (BC): 250 to 5000 Hz: ±4 dB

5000 to 8000 Hz: ±5 dB

Level resolution

1, 2, or 5 dB step resolution over the entire range

HL Range

Maximum output will be limited by the transducer.

AC: -10 to 120 dB HL (500 to 4000 Hz; supra-aural earphones)

BC: -10 to 80 dB HL (1500 to 3000 Hz; mastoid placement)

SF: 103 dB HL (Note: with external amplifier)

Total harmonic distortion

Air < 2.5 %

Bone < 5 %

Selectable transducers

AC: TDH39, HDA 300, and Insert Earphones

BC: Bone vibrator (Mastoid / Forehead)

SF: Passive sound field speaker, using the built-in amplifier or

Sound field speaker with built-in amplifier or external amplifier, with both types using the line output from Audiometer.

Outputs

AC: 3 x 2 mono jacks, 1/4 "

BC: 2 x mono jacks, 1/4 "

SF power output: 5 x terminals,

5 x 40 W peak, 8 load

SF line output: 3 x mini XLR 6 pin

5 x +6 dBu, balanced

External inputs

CD/Analog line in: 0.2 to 2.0 Vrms, 10 k 2 x RCA phone

Talk Back microphone: Electret microphone

Input voltage: 0.002 to 0.02 Vrms

Input resistance: 2.21 k .

3.5 mm jack

Stimulus presentation

Normal: The signal is presented when the Stimulate button is pressed.

Continuous ON: The signal is interrupted when the Stimulate button is pressed.

Pulse: The signal is pulsed.

Pulse duration: 225 ms on and 225 ms off (default).

ICS Impulse, Otometrics ICS Impulse with a customized report function with vector-based graphics to meet documentation requirements. Interfaces directly with EMR systems, and ASCII and raw data export are also available.

Features

Video Frenzel

At the core of ICS Impulse is the powerful Video Frenzel, giving access to vestibular assessment and treatment.

vHIT

ICS Impulse vHIT enables head impulse testing with gold-standard accuracy.

Positional

Increase accuracy in assessing and treating patients with BPPV. Head Position Feedback and real-time SPV make it possible.

Oculomotor

oculomotor testing, Oculomotor provides simple and quick tests that assist in determining if the disorder is central or peripheral.

***Compliance - This equipment will have access to patient/VA information***

Delivery, installation and acceptance is to be F.O.B Destination (FAR 52.247-34)

52.212-1, Instructions to Offerors--Commercial Items

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL

Gray market items are Original Equipment Manufacturer s (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers. No remanufactures or gray market items will be acceptable.

Offeror shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts), verified by an authorization letter or other documents from the OEM, such that the OEM s warranty and service are provided and maintained by the OEM. All software licensing, warranty and service associated with the medical supplies, medical equipment and/or services contracts for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.

The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the VA reserves the right enforce any of its contractual remedies. This includes termination of the contract or, solely at the VA s election, allowing the Vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items.

Offerors providing an or equal product(s) must adhere to the terms in FAR 52.211-6. If an item in this solicitation is identified as brand name or equal, the purchase description reflects the characteristics and level of quality that will satisfy the Government s needs. The salient physical, functional, or performance characteristics that equal products must meet are specified in the solicitation. To be considered for award, offers of equal products, including equal products of the brand name manufacturer, must

Meet the salient physical, functional, or performance characteristic specified in this solicitation;

Clearly identify the item by-

Brand name, if any and

Make or model number,

Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and

Clearly describe any modification the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modification.

The contracting officer will evaluate equal products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the contracting officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer. Unless the offeror clearly indicates in its offer that the product being offered is an equal product, the offeror shall provide the brand name product referenced in the solicitation

Any award made as a result of this solicitation will be made on an All or Nothing Basis.

State if quoted items are available and priced through offerors existing Government-wide Acquisition Contract (GWAC), GSA Multiple Award Schedule (MAS) contract, or VA-wide Acquisition Contract.

If the acquisition is set-aside for SDVOSBs/VOSBs, their socioeconomic status must be VIP verified and visible in the VA Vendor Information Pages (VIP): https://www.vip.vetbiz.gov/ at the time of quote submission AND award, or will be considered non-responsive, and will NOT be considered for award.

Offerors are warned against contacting any VA personnel other than the Contracting Officer and Contract Specialist prior to placement of any award made resulting from this RFQ. If such contact occurs and found to be prejudicial to competing contactors, the offeror making such contact may be excluded from award considerations.

All proprietary information shall be clearly and properly marked. If the Offeror submits annexes, documentation, attachments or the like, not specifically required by this solicitation, such will count against the Offeror s page limitations unless otherwise indicated in the specific volume instructions below.

All information shall be confined to the appropriate file. The offeror shall confine submissions to essential matters, sufficient to define the quote and provide an adequate basis for evaluation. Offerors are responsible for including sufficient details, in a concise manner, to permit a complete and accurate evaluation of each quote.

Submission of quote shall include the following volumes: (I) Technical Capability and (II) Price

Volume I - Technical Capability

1. The offeror shall submit specifications, cut sheets, or brochures confirming the equal products, including equal products of the brand name manufacturer submitted, meets the salient physical, functional, or performance characteristic specified in this solicitation. The product(s) quoted must be identified by brand name, if any, and make or model number.

Volume II Price

Price - The offeror shall complete the pricing schedule provided in Section (v) above: Price/Cost Schedule.

(End of Addendum to 52.212-1)

52.212-2, Evaluation--Commercial Items

ADDENDUM to FAR 52.212-2 EVALUATION COMMERCIAL ITEMS:

This is FAR Part 13 acquisition utilizing Lowest Price Technically Acceptable (LPTA) procedures. The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government considering price and other factors. The following factors shall be used to evaluate offers:

Technical Capability

The Government will evaluate equal products on the basis of information furnished by the offeror or identified in the offer. The Government is not responsible for locating or obtaining any information not identified in the offer. The product(s) quoted is determined technically acceptable provided it meets the salient physical, functional, or performance characteristic of the product(s) specified in this solicitation.

Price The Government will evaluate offers by adding all line item prices - the Total of All CLINS will be that sum. The Government may use various price analysis techniques and procedures to make a price reasonableness determination. Offers that do not meet the technical capability requirements of the Statement of Work shall not be selected regardless of price.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Addendum to 52.212-2)

Offerors are advised to include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications Commercial Items, with the offer.

52.212-4, Contract Terms and Conditions--Commercial Items applies to this acquisition

52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items (JUL 2020)

FAR 52.212-5 applies to this acquisition with the following FAR clauses incorporated by reference;

FAR 52.204-10

Reporting Executive Compensation & First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note)

FAR 52.209-6

Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (JUN 2020) (31 U.S.C. 6101 note)

FAR 52.219-28

Post Award Small Business Program Representation (MAY 2020) (15 U.S.C 632(a)(2))

FAR 52.219-33

Nonmanufacturer Rule (MAR 2020)

FAR 52.222-3

Convict Labor (JUN 2003) (E.O. 11755)

FAR 52.222-19

Child Labor Cooperation with Authorities and Remedies (JAN 2020) (E.O. 13126)

FAR 52.222-21

Prohibition of Segregated Facilities (APR 2015)

FAR 52.222-26

Equal Opportunity (SEP 2016) (E.O. 11246)

FAR 52.222-35

Equal Opportunity for Veterans (JUN 2020) (38 U.S.C. 4212)

FAR 52.222-36

Equal Opportunity for Workers with Disabilities (JUN 2020) (29 U.S.C. 793)

FAR 52.222-37

Employment Reports on Veterans (JUN 2020) (38 U.S.C. 4212)

FAR 52.222-50

Combating Trafficking in Persons (JAN 2019) (22 U.S.C. chapter 78 and E.O. 13627)

FAR 52.223-18

Encouraging Contractor Policies to Ban Text Messaging While Driving (JUN 2020) (E.O. 13513)

FAR 52.225-3

Buy American--Free Trade Agreements--Israeli Trade Act (MAY 2014) [If $25K - $182K]

FAR 52.225-13

Restrictions on Certain Foreign Purchases (JUN 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury)

FAR 52.232-33

Payment by Electronic Funds Transfer System for Award Management (Jul 2018) (31 U.S.C. 3332)

Additional contract requirements or terms and conditions:

52.252-2, Clauses Incorporated by Reference (Feb 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html

http://www.va.gov/oal/library/vaar/

The following FAR clauses are incorporated by reference:

FAR 52.204-13

System for Award Management Maintenance (OCT 2018)

FAR 52.204-18

Commercial and Government Entity Code Maintenance (JUL 2016)

FAR 52.209-11

Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law, in all solicitations. (Feb 2020)

FAR 52.219-6

Notice of Total Small Business Set-Aside (DEVIATION 2019-01)

FAR 52.232-40

Providing Accelerated Payments to Small Business Subcontractors (DEC 2013)

The following VAAR clauses are to be incorporated by reference:

VAAR 852.203-70

Commercial Advertising (NOV 2008)

VAAR 852.211-70

Service Data Manuals, (NOV 1984)

VAAR 852.212-71

Gray Market Items (APR 2020)

VAAR 852.212-72

Gray Market and Counterfeit Items (MAR 2020)

VAAR 852.219-74

Limitations on Subcontracting Monitoring and Compliance (JUL 2018)

VAAR 852.232-72

Electronic Submission of Payment Requests (NOV 2012)

VAAR 852.246-71

Rejected Goods

52.252-1, Solicitation Provisions Incorporated by Reference (Feb 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html (FAR)

http://www.va.gov/oal/library/vaar/index.asp (VAAR)

The following FAR provisions are to be incorporated by reference:

FAR 52.204-7

System for Award Management (OCT 2018)

FAR 52.204-16

Commercial and Government Entity Code Reporting (JUL 2016)

FAR 52.211-6

Brand Name or Equal (AUG 1999)

FAR 52.214-21

Descriptive Literature (APR 2002)

The following VAAR provisions are to be incorporated by reference:

None

The Defense Priorities and Allocations System (DPAS) does not apply.

Date and Time offers are due to Lisa.thompson10@va.gov no later than 4:00pm MST, September 21st,, 2020.

Name and email of the individual to contact for information regarding the solicitation:

Lisa Thompson at Lisa.thompson10@va.gov